Voted "Top Doctor" in Phoenix Magazine's April 2014, 2015 & 2016 issues, Dr. Cathleen A. McCarthy discusses and recommends shoes for people of all ages with a multitude of podiatric problems. My goal is to help you find good looking shoes that are good for your feet and are pathology specific. For an appointment at our North Scottsdale office, please schedule an appointment by calling (480) 563 5115. For more information, please visit www.pinnaclepeakpodiatry.com

I started with a 'Top 10' list and it quickly snowballed into a 'Top 25' list! Remember, no matter what type of boot you choose for yourself, it must meet four criteria to be comfortable:

First, it must have a thick rigid sole that you cannot bend or flex. A thin, flimsy sole that bends and flexes will cause excess motion through your foot joints, which can lead to increased chance of injury such as fractures and sprains, arthritis, bunions, hammertoes, mechanical strain and PAIN. A good shoe is a shoe that limits motion so that you have less pain, less damage, less chance of injury and, an added bonus, prettier feet. As you walk through life, you are either beating up your feet or you are beating up your shoes - if you think what your shoes look like after a couple of years of use - without the protection of a thick rigid sole - that damage is going to be happening to your joints.

Second, you need arch support. Whether it is built into the shoe, over-the-counter arch support or a custom-molded orthotic - it is important to biomecahnically control your arch. When patients say to me that they have great arches and don't need arch support, my answer is that bridges have arches but engineers still put struts under them to decrease mechanical strain. Proper arch support will help decrease knee, hip and lower back pain as well as stop or slow the progression of bunions, hammertoes and soft tissue injuries such as tendonitis and plantar fascial strain. Talk to your Podiatrist about whether or not your insurance plan pays for you to get custom-molded orthotics. They are often a covered benefit. You only have one set of feet and once they break down - you don't get a new pair. Invest in your body and purchase good shoes and get orthotics. It's the same rationale as a dentist telling you to brush and floss on a regular basis and a dermatologist telling you to wear sunscreen. You need to protect your body because it is just a matter of time until it tries to go south on you.

Third, you need a wide and preferably soft toebox. This will decrease pressure on the toes, which will help prevent ingrown toenails, hammertoes, bunions, Morton's Neuromas and painful corns and calluses.

Forth, you need a shoe with rearfoot control. Backless shoes such as flipflops and mules are not good enough for your feet. If you are not biomechanically controlling the rearfoot with at least a strap, you are forcing your toes to curl down to stay in the shoe, which promotes deformities such as hammertoes and bunions and increases the chance of knee, hip and lower back pain. Without rearfoot control, you are forcing all of your tendons, ligaments and joints to work harder to stay in the shoe. This also causes 'tired-leg syndrome' and leg fatigue.

If you have any severe foot issues or systemic diseases, please check with your Podiatrist to make sure that a particular boot is correct for you. I encourage patients to bring in one bag of shoes so that we can check each shoe together and have a discussion about what will or will not work for their feet. Proper shoegear is absolutely crucial!

My goal as a Podiatrist is to keep my patients as active as possible for as long as possible with as few problems as possible. And this goal can be achieved with the help of proper shoegear.

Okay - enough preaching! Let's get to the list...

Ugg Kensington II

I love the Uggs! Not all Uggs are good but if you get one with a thick rigid sole, wide toebox and rearfoot control and add a dress orthotic - you are pretty much gold.

Ugg Kensington II is Recommended for Patients with:

*Mild to possibly severe Bunions

*Mild to possibly severe Hammertoes

*Hallux Limitus (limited range of motion of the 1st toe joint)

*Hallux Rigidus (No motion of the 1st toe joint)

*Any patient with a fused toe joint

*Morton's Neuroma

*Metatarsalgia

*Capsulitis

*Anyone recovering from a Lisfranc's Fracture

*Plantar Plate Injury

*Osteoarthritis

*Mild to possibly severe Rheumatoid Arthritis

*Plantar Fasciitis (Heel Pain)

*Mild to severe Over-Pronation (wear dress orthotics)

*Mild to moderate Hypermobility (wear with dress orthotics)

Ugg Kensington II is NOT Recommended for Patients with:

*Charcot Foot

*Achilles Tendonitis (these patients need a slightly higher heel lift in the back - such as a low wedge to decrease tension on the Achilles)

*Diabetic (Clear this boot with your Podiatrist)

*History of Ulcerations

*Peripheral Arterial Disease (Clear with your Podiatrist)

*Peripheral Neuropathy/Nerve Damage (Clear with your Podiatrist)

Tsubo Kynlee

The Tsubo Kynlee is a gorgeous boot. If you know that you can handle wearing a slight heel, this boot should work for you. If you have severe Hallux Limitus, Hallux Rigidus or significant forefoot isses, the wedge may not be ideal for you. Basically, if you can wear this heel height with no problems, this should be a good choice.

It's hard to go wrong with Dr. Marten's shoes. I've noticed that some of the Dr. Marten's soles do bend and flex a little but most of the Dr. Marten's have the thick, rigid sole that does not bend or flex. When shopping in the store, double check and make sure that the sole does not bend or flex.

*Moderate to Severe Haglund's Deformity (bump on the back of the heel)

*Severe Bunions

*Severe Hammertoes

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*History of Ulcerations

*Anyone with significant 'bumps' or exostosis on the foot

*High arch with 'bumps' or bone spurs on top of the foot

Naot Gratify

The Naot Gratify is a gorgeous boot and has a full lenfth shaft which allows for less motion through the forefoot and therefore more comfort. Not all Naot shoes have a full length shaft, which is a disappointment so if you are shopping for a Naot - make sure you get one with the full length shaft and not a partial shaft. There's a huge difference in comfort.

Gorgeous boot! I love the Tsubo shoes and I love to dress up jeans with this look. This heel height is not for everyone but if you know that you can wear this heel height comfortably, this boot should work for you.

Tsubo Dess Boots Recommended for Patients with:

*Mild Achilles Tendonitis

*Mild Plantar Fasciitis (Heel Pain)

Tsubo Dess Boots NOT Recommended for Patients with:

*Charcot Foot

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*History of Ulcerations

*Balance Issues

*Severe Hypermobility or Instability

*Hallux Rigidus (No motion of the 1st toe joint)

*Osteoarthritis of any of the toe joints

*High arches with 'bump' or exostosis on the top of the foot

*Haglund's Deformity

*Recovering from a Lisfranc's Fracture

*Metatarsalgia

*Capsulitis

*Plantar Plate Injury

Dansko Crepe Chukka

If you are doing a lot of walking on concrete and hard surfaces - this might be your boot. The Dansko Crepe Chukka has a thick rigid sole with NO motion, which translates into all day comfort. Add a dress orthotic for more arch control and it's hard to go wrong with this boot. The only limitations with Dansko is that if you have prominent 'bumps' such as bunions or exostosis and bone spurs - there might be too much pressure on them which can cause pain. An option is to take the shoe to a Cobbler or Shoe Repair and have them stretch the area over the bunion or 'bump'.

This Boot Recommended for Patients with:

*Hallux Limitus

*Hallux Rigidus

*Plantar Fasciitis (Heel Pain)

*Morton's Neuroma

*Metatarsalgia

*Plantar Plate Issues

*Capsulitis

*Bunions

*Hammertoes

*Corns & Calluses

*Tailor's Bunions

*History of Lisfrand's Injury

*Recovered from Foot Fractures (Clear with your Pod)

*Osteoarthritis

*Knee, Hip and Lower Back Pain

*Over-Pronation (wear with a dress orthotic)

*Mild Hypermobility (wear with a dress orthotic)

This Boot NOT Recommended for Patients with:

*Charcot Foot

*Diabetics (Clear with your Podiatrist)

*Peripheral Arterial Disease (Clear with your Podiatrist)

*Peripheral Neuropathy (Nerve Damage)

*Muscle Weakness

*Drop Foot

*Severe Hypermobility

*Instability

*Geriatrics

Dansko Tabitha

Dansko is fabulous but they are not for everybody. I would recommend that if you are shopping for Dansko, go to the store to try them on. If you have large bunions or 'bumps' on the top of the midfoot area, Danskos might not work for you.

Dansko Tabitha Recommended for Patients with:

*Mild Bunions

*Mild Hammertoes

*Mild to moderate Hallux Limitus

*Mild Morton's Neuroma

*Mild Metatarsalgia

*Mild Plantar Plate Injuries

*Mild Capsulitis

*Plantar Fasciits (Heel Pain)

*Achilles Tendonitis

*Mild to moderate Osteoarthritis

Dansko Tabitha NOT Recommended for Patients with:

*Hallux Rigidus (No motion of the 1st toe joint)

*Severe Tailor's Bunions

Severe Hallux Limitus (limited range of motion of the 1st toe joint)

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*History of Ulcerations

*Charcot Foot

Ugg Anais

I had to add this boot because I love the style! The heel height is a bit high but if you know that you can handle this heel height, this should be a comfortable boot for you. The wedge heel gives added protection to the forefoot structures and more of a 'roll off' action when you walk - this will cause less stress to the forefoot.

Ugg Anais Recommended for Patients with:

*Mild Plantar Fasciitis (Heel Pain)

*Mild Achilles Tendonitis

*Women who know that they can wear this heel height comfortably

Ugg Anais NOT Recommended for Patients with:

*Hallux Rigidus (No motion of the 1st toe joint)

*Hallux Limitus (limited range of motion of the 1st toe joint)

*Osteoarthritis of any of the forefoot joints.

*Bunions

*Hammertoes

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*Charcot Foot

*History of Ulcerations

*Balance Issues

Dansko Faith

I love the Danskos but I recommend purchasing this one in the store. I've noticed that since Dansko has started manufacturing more shoes in China - the forefoot area can have too much bend and the toebox has gotten a little smaller and more narrow. Make sure the forefoot wedge does not bend and, if you can know that you can wear this heel height comfortably, this should be a good boot for you.

Dansko Faith Recommended for Patients with:

*Mild Plantar Fasciitis (Heel Pain)

*Mild Achilles Tendonitis

*Women who know that they can wear this heel height comfortably

Dansko Faith NOT Recommended for Patients with:

*Hallux Rigidus (No motion of the 1st toe joint)

*Hallux Limitus (limited range of motion of the 1st toe joint)

*Osteoarthritis of any of the forefoot joints.

*Bunions

*Hammertoes

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*Charcot Foot

*History of Ulcerations

*Balance Issues

John Fluevog On Course Leeward

This is my Christmas gift - that has still not arrived! I can't give a full review on this boot because I don't have it yet but it is so gorgeous and seems to meet all the criteria so I thought I'd add it to the list. I will give a further update once I get these bad boys on my feet!

John Fluevog Prepares Map

As you know, I love John Fluevog shoes and this boot is no exception. The wedge heel is solid and very comfortable. I can walk in this shoe all day. I love the wide toebox with soft leather that feels like butter. If you purchase this boot, buy extra boot laces because, for some reason, the laces on this boot break easily.

This Boot Recommended for Patients with:

*Mild Bunions

*Mild Hammertoes

*Mild Hallux Limitus

*Mild Morton's Neuroma

*Mild to possibly Moderate Plantar Fasciitis (Heel Pain)

*Mild Achilles Tendonitis

*Mild Over-Pronation (wear a dress orthotic)

*Mild Hypermobility (wear a dress orthotic)

This Boot NOT Recommended for Patients with:

*Hallux Rigidus (No motion of the 1st toe joint)

*Severe Hallux Limitus (limited range of motion of the 1st toe joint)

*Severe Osteoarthritis of any of the forefoot joints.

*Severe Bunions

*Severe Hammertoes

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*Charcot Foot

*History of Ulcerations

*Balance Issues

Dansko Vail

Another fabulous Dansko boot. It's very hard to go wrong with this boot - especially if you need to do lots of outdoor walking in bad weather.

Dansko Vail is Recommended for Patients with:

*Mild to Moderate Bunions

*Mild to Moderate Hammertoes

*Hallux Limitus (limited range of motion of the 1st toe joint)

*Hallux Rigidus (No motion of the 1st toe joint)

*Any patient with a fused toe joint

*Morton's Neuroma

*Metatarsalgia

*Capsulitis

*Patients recovering from a Lisfranc's Fracture

*Plantar Plate Injury

*Osteoarthritis

*Mild to Moderate Rheumatoid Arthritis (Check with your Podiatrist)

*Plantar Fasciitis (Heel Pain)

*Over-Pronation (wear dress orthotics)

*Mild to Moderate Hypermobility (wear with dress orthotics)

*Mild Achilles Tendonitis

*Mild Tendonitis

Dansko Vail is NOT Recommended for Patients with:

*Charcot Foot

*Diabetics (Clear with your Podiatrist)

*History of Ulcerations

*Peripheral Arterial Disease (Clear with your Podiatrist)

*Peripheral Neuropathy/Nerve Damage (Clear with your Podiatrist)

Frye Harness 12R

I own this boot and wore it several years ago on a 10 day walking winter tour of Berlin and Vienna. With socks and my dress orthotic, they kept me warm and dry and walking in comfort all day long. The only issue I have with this boot is that the forefoot area tends to be a bit too tapered so if you have a wide forefoot, this may not work for you. The boot has a rigid sole and great rearfoot control and it looks great under jeans. If you have a 5th toe hammertoe with a corn - either try to size up or get a boot with a wider toebox like the Alegria.

Excellent boot! Please see my complete review of the Alegria boots (2 blog posts previous to this one, which you can find by scrolling back or typing 'Alegria' in the search box at the upper right hand corner). Wear a dress orthotic for maximum comfort and this is a boot that will work for almost any foot type.

Camper Filippa Low

I don't own this boot and have not seen it in person but I love the look and it seems to meet all the criteria. The wedge heel should stop motion in the forefoot are and, if you know that you can handle this heel height, it should be comfortable. The reviews also state that it works well for women with a wider calf.

This Boot Recommended for Patients with:

*Mild Achilles Tendonitis

*Mild Plantar Fasciits (Heel Pain)

*Women who know that they can wear this heel height comfortably.

This Boot NOT Recommended for Patients with:

*Charcot Foot

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*History of Ulcerations

*Balance Issues

*Hypermobility or Instability

*Hallux Rigidus (No motion of the 1st toe joint)

*Severe Osteoarthritis of any of the toe joints

*Large 'bumps' or exostosis on the foot

*High arches with 'bump' or exostosis on the top of the foot

*Severe Haglund's Deformity

*Recovering from a Lisfrac's Fracture

*Metatarsalgia

*Capsulitis

*Plantar Plate Injury

Alegria Raina

This is the boot that I wore on my eleven day walking vacation of Paris and it passed with flying colors. For more information and a full review of the Alegria boots, please go to the search box and type in Alegria. I did a blog post (2 previous to this blog post) where I talk about these two boots in detail.

Overall, excellent boot and I paid $29 on 6pm.com.

Ariat Fatbaby

I think I got these because I love saying that I'm wearing my 'Fatbabies'! This is an excellent boot and I wear them under black slacks or jeans and they look professional and feel great. The Fatbaby boot does have a full length shank in it but I did notice that there is still a little bit of flexion in the sole, which was a disappointment because I am a stickler for no motion in the sole of a shoe BUT, with my dress orthotic and my mild Hallux Limitus, it still works very nicely for all day wear.

*Achilles Tendonitis (these patients need a slightly higher heel lift in the back - such as a low wedge to decrease tension on the Achilles)

*Diabetic (Clear this boot with your Podiatrist)

*History of Ulcerations

*Peripheral Arterial Disease (Clear with your Podiatrist)

*Peripheral Neuropathy/Nerve Damage (Clear with your Podiatrist)

Tsubo Descari

I love the Tsubo brand. This ankle is a bit high on the wedge but I wanted to add it because I love the Tsubo thick, rigid soles and I particularly like the soft adjustable strap across the midfoot area. This boot will not work if you have Hallux Limitus, Hallux Rigidus or any serious forefoot issues because the wedge is too steep of an incline, which will put too much pressure to the forefoot structures. If you know you can wear a heel this height comfortably, the forefoot sole has enough rigidity and cushion to give added protection to the forefoot structures. I was able to wear the Tsubo Heels at this height for many years and, as I got older, my feet were not able to tolerate it anymore. The trick is to listen to your body and if your feet hurt or if you are compensating or changing your gait in any way - don't wear them because they are causing damage.

This Boot Recommended for Patients with:

*Mild Achilles Tendonitis

*Mild Plantar Fasciitis (Heel Pain)

*Women who know they can wear this heel height comfortably.

This Boot NOT Recommended for Patients with:

*Charcot Foot

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*History of Ulcerations

*Balance Issues

*Hypermobility or Instability

*Hallux Rigidus (No motion of the 1st toe joint)

*Osteoarthritis of any of the toe joints

*Severe Haglund's Deformity

*Recovering from a Lisfrac's Fracture

*Metatarsalgia

*Capsulitis

*Plantar Plate Injury

Fly London Mux Boot

Fly London Yust Boot

Fly London Yink Boot

These three Fly London boots are a nice combination of style and comfort. Once again, they are not going to work for everyone but if you know that you can wear a heel this height comfortably - these boots should work for you.

Fly London Boots Recommended for Patients with:

*Mild to possibly moderate Bunions

*Mild to possibly moderte Hammertoes

*Mild Morton's Neuromas

*Mild Metatarsalgia

*Mild Capsulitis

*Mild Hallux Limitus (limited range of motion of the 1st toe joint)

*Mild Achilles Tendonitis

*Mild Over-Pronation (wear a dress orthotic)

*Mild Hypermobility (wear a dress orthotic)

*Healed Lisfranc's Injury (Check with your Pod)

Fly London Boots NOT Recommended for Patients with:

*Charcot Foot

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*History of Ulcerations

*Balance Issues

*Severe Hypermobility or Instability

*Hallux Rigidus (No motion of the 1st toe joint)

*Severe Osteoarthritis of any of the toe joints

*Large 'bumps' or exostosis on the foot

*High arches with 'bump' or exostosis on the top of the foot

*Severe Haglund's Deformity

Women's Ladies Wedge Platform

Lace Up Round Toe Low Heel Boots

Yes, that is actually the official name on ebay. I like the thick rigid sole and, once again, if you know that you are able to wear a low wedge heel comfortably, this boot should work well for you. I also like the fact that you can loosen the laces to adjust for ankle and calf size. At the price of $39 - this is a great option for anyone on a budget.

This Boot Recommended for Patients with:

*Mild Bunions

*Mild Hammertoes

*Mild Morton's Neuromas

*Mild Metatarsalgia

*Mild Capsulitis

*Mild Hallux Limitus (limited range of motion of the 1st toe joint)

*Achilles Tendonitis

*Mild Over-Pronation (wear a dress orthotic)

*Mild Hypermobility (wear a dress orthotic)

This Boot NOT Recommended for Patients with:

*Charcot Foot

*Diabetics

*Peripheral Arterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*History of Ulcerations

*Balance Issues

*Severe Hypermobility or Instability

*Hallux Rigidus (No motion of the 1st toe joint)

*Severe Osteoarthritis of any of the toe joints

*Large 'bumps' or exostosis on the foot

*High arches with 'bump' or exostosis on the top of the foot

*Severe Haglund's Deformity

Fit Flop Mukluk Moc 2

Fit Flop Crush Boot

The Fit Flop boots are fabulous! They have the thick, rigid sole that does not bend or flex, a soft and wide toebox, good rearfoot control and you can add a dress orthotic to it for arch control. The only issue with this boot is that they don't come in half sizes so I would recommend sizing up and some patients have issues with pulling them on since they do not have a zipper. Overall, an excellent boot.

Fit Flop Boots (above) Recommended for Patients with:

*Mild to Severe Bunions

*Mild to Severe Hammertoes

*Morton's Neuroma

*Metatarsalgia

*Hallux Limitus (limited range of motion of the 1st toe joint)

*Hallux Rigidus

*Rheumatoid Arthritis

*Osteoarthritis

*Capsulitis

*Plantar Fasciitis (Heel Pain)

*Achilles Tendonitis

*Mild to Moderate Over-Pronation (wear a dress orthotic)

*Mild to Moderate Hypermobility (wear a dress orthotic)

*Mild to Moderate Tendonitis (wear dress orthotic)

*Recovering from a previous Lisfranc's Injury or fracture

Fit Flop Boots NOT Recommended for Patients with:

*Charcot Foot

*History of Ulcerations

Fit Flop Boots MAY works for Patients with:

(Get Approval from your Podiatrist!):

*Diabetics

*Peripheral Areterial Disease (Poor Circulation)

*Peripheral Neuropathy (Nerve Damage)

*History of Ulcerations

I hope this was helpful and I would love to hear any feedback that you have on these boots - or other great boots that you think should be on the list.

Happy New Years!

Dr. Cathleen A. McCarthy

:)

******

I'f you're into detective stories - check out my book 'Gunning For Angels' which was written under my pen name C. Mack Lewis. It's available on Kindle or in paperback.

Hi Anonymous, I like the Gravity Dyfyer shoes. I wish the sole was more rigid but I love the fact that they have hidden springs. Great for heel pain BUT they would be better if the sole was more rigid and had less bend and flex. Cathy:)

I enjoy your blog. I have terrible foot pain and cannot find any comfortable shoes. I agree with you about the Crocs relief as they are one of the few I can tolerate. I need a shoe that is firm yet cushioned and have not been able to find an ideal one. I mostly wear Easy Spirit Traveltime and find them more tolerable than other shoe I can wear away from home. My question is, why do some Podiatrists recommend flexible shoes instead of rigid ones? I even read an article on Web MD this morning that recommended shoes that flex at the toes for people with problem feet. Also, can you recommend a shoe that is firm yet cushy? I have trouble with sneakers that lace up because I have pain on the tops of my feet also. Thank you.

Your blog is just the most amazing resource! I will consult your recommended shoes before ever buying another pair. Quick question on which Crocs Rx you recommend for slippers...I have a history of broken metatarsals in both feet (1 needed pinning) and I need to find an alternative to my Hafflingers. I LOVE cork soled slippers and shoes, but my toenails make holes in the wool. Really, they're not long though! Thanks for your fabulous blog!

Hello,I feel like I have planter fascisticand have tried so many different shoes Danskos, different ones, Algeria diffrent ones, Born, Keen, and Wolky. The arches in shoes also hurt my feet. I take Lyrica for fibromyalgia I thought this would help my the nerve pain, but it has not. I feel like they are so ridged. I am 46 and work in an office setting. I have tried and sent back so many shoes trying to find one that will work. I have very tight hamstrings and bursitis in my hip. I feel these are partly from shoes issues. Is there anything else you would recommend for office shoes.I have tried many inserts, cortisone shots and seen many different podiatrists and not sure what to do any more. I do were the RX crocs on the weekend. Any advice or tips would be great.

Hello,I feel like I have planter fascisticand have tried so many different shoes Danskos, different ones, Algeria diffrent ones, Born, Keen, and Wolky. The arches in shoes also hurt my feet. I take Lyrica for fibromyalgia I thought this would help my the nerve pain, but it has not. I feel like they are so ridged. I am 46 and work in an office setting. I have tried and sent back so many shoes trying to find one that will work. I have very tight hamstrings and bursitis in my hip. I feel these are partly from shoes issues. Is there anything else you would recommend for office shoes.I have tried many inserts, cortisone shots and seen many different podiatrists and not sure what to do any more. I do were the RX crocs on the weekend. Any advice or tips would be great.

Are you doing something different with your blog? The search function only works about half the time, and I no longer receive your updates via email. I tried to resubscribe but was told I was already a subscriber -- yet I have not rec'd this or an earlier newsletter. ??

I have a bunion and hammertoe on my right foot, and wide forefeet. I got 2 pairs of Clark boots this year, both with rubber soles and only a slightly raised heel, and am loving them. I think they're both in the Whistle line.

Hi Anonymous, Great question! I think that the sources that are recommending shoes that flex have good intentions - they're unknowingly giving bad advice.

Being a Podiatrist, I have an advantage in that I have spent the last 13 years in private practice treating patient's foot pain and I have the unique advantage of seeing what works and what doesn't. The theories that I use are not common knowledge - even in Podiatry. I remember in Podiatry school they would tell us to tell patients to 'wear good shoes' but they never actually told us the defination of a good shoe. Over the years, I've built my biomechanical theories (based on listening to patients about what works for them and by thinking about WHY certain things work and others don't) and my success rate with patients soared. I have a sub-specialty in my practice of treating patients who have had multiple foot and ankle surgeries and cortisone injections and are still having pain. Within 2-3 visits, using proper shoegear, CMO's, occasionally bracing and by changing simple habits - they are dramatically improved.

In answer to your shoe questions, I would add a CMO or a great OTC insert (like Footsteps) to the Easy Spirit Traveltime for more comfort. I tend to only recommend the Traveltime to more geriatric sedentary patients. If you are younger and more active, you need less motion through the forefoot area. Also, try the Crocs Mammouth around the house as a bedroom slipper - they are fleece lined and offer support and soft lining.

For sneakers, I would try the New Balance 1540 (skip a lace so that there is less pressure on the top of your foot) and for summer the Wolky sandals (Ruby, Tulip, Jewel or Cloggy) and the Croc Mammouth for around the house. Try them on at the store so that you can make sure none of the straps hit the top of your foot in an area that hurts.

The Hafflingers with cork base are pretty darn good - as long as it has rearfoot control and the base doesn not bend or flex.

The three things I recommend for bedroom slippers are:1. RX Croc clogs with the strap to the back (also, Crocs mammouth which has enough of a lip in the back to help hold the heel in and is also fleece lined).2. Birkenstock sandals (with a strap in the back)3. The Orthoheel Diabetic slipper, which does not have a strap in the back BUT, if the first 2 choices aren't working for you then I can approve this slipper - especially for older and more sedentary patients who can't reach their feet to put on a shoe with a strap.

Hi Thansan85,I'm sorry to hear that you're having so much trouble with your feet. You've definately got more issues when we start talking about fibromyalgia, hip issues and it sounds like you have tried a lot of good shoes that did not work for you.

The basics for you are:1. RX Crocs or Crocs Mammouth around the house as a bedroom slipper. 2. New Balance 928, 1540 or 812 with an insert (either custom-molded or and over the counter like Footsteps) and if you are one of the 10% of people who cannot tolerate arch support then don't wear arch support. 3. Office wear - try the Wolky Cloggy. I know you've tried Wolky's before but I don't know if you tried this one.

Also, I would send you out for a Scanogram to evaluate for a possible limb length discrepancy because that is an easy fix with a heel lift on the shorter side. Scanograms are more accurate than manually measuring.

Also, I would recommend discussing with your Doctor a RX for Metanx, which is a prescription strength Vitamin that helps with neuropathic pain and chronic pain syndromes.

That's a start. If you are ever in town, please make an appointment and bring in ONE bag of shoes that you wear the most so we can do a full evaluation. Don't give up! There is always an answer and if you don't find it with one Doc - get a second and a third opinion because you are worth it and there is always an answer.

Hi Anonymous,Charcot patients need custom-molded shoes that are an RX specifically to their feet. They often also need built in Ankle-Foot Orthosis to control motion.

I assume that if you have CMT that you are wearing an ankle-foot orthosis? CMT patients need shoes that have a thick, protective sole but is LIGHT because of the muscle weakness and foot drop condition. It depends a lot on your age, level of activity, weight and a variety of other factors. A very general recommendation for a walking shoe is the New Balance 812 because it can accommodate an AFO and has a protective sole but is also light. I highly recommend that you find a Pod in your area - assuming you don't already have one - and discuss this with him or her. Proper shoes and bracing are very important to keeping you living an active healthy life and any Podiatrist should be able to help you with this.

Hi Thansen85,Not RIDGED - I'm recommending a RIGID soled shoes. Hopefully that was a misspelling and not a miscommunication?

You need a thick and RIGID soled shoe - a shoe that does not bend or flex and has a wide base. I would recommend that you try either the New Balance 928 or 1540. They are both better than the Gravity Defyer.

This is a great list and I've just found your blog today as I desperately search for shoes that fit my feet comfortably. Unfortunately, I don't see anything on this list that might fit the bill for me. I have an exostosis on the top of my foot, about halfway between the base of my big toe and ankle. I also have narrow heels, and tall big toes so I need a tall toe box. It's really hard to find something to accommodate all three issues. I live in a place where I can wear casual sandals only four months of the year. It's very discouraging to shop for shoes and I always end up wearing something that is way too sloppy or kills my feet. I would be eternally grateful if you have any ideas. Thanks so much!

What do you think about the lighter-soled Frye styles? I've noticed that some of them, including the ones you've shown here, have a very heavy sole that I usually have trouble with. I have bony lumps on the tops of my feet (I think the word is exostosis?), and they get aggravated by wearing heavy-soled shoes- Danskos are really uncomfortable for me. I also have a weak ankle from an old injury, so I avoid shoes that have a heavy sole unless they are also very supportive around the ankle. Lace-ups are best, because they can be loosened around the top of my foot where the lumps are but tight around the ankle for support. I'm thinking about replacing my very worn out but most comfortable lace up ankle boots (Ariat paddock boots) with Frye Carson lace-ups.

I'm looking for a tall boot without a wedge heel that meets the thick and rigid sole requirement. I went to all the shoe stores in my area today and not a single one, no matter how expensive, had a thick and rigid sole. Sheesh! I did find the Dansko Bethany boot online. What do you think about this boot?

Thank, thank you, thank you for your blog. I have RA, and am also a severe overpronator, I had hyprocure surgery last year, which has been helpful. I have a number of the shoes you recommend, but recently the Naot Kirei caught my eye, have you reviewed that shoe?

Also, I wear orthotics all the time, and wear my NB 860 in the house as slippers. Do you have any recommendations for slippers for those of us that need orthotics?

Thank you so much for writing this blog!! I've recently had surgery for Halux rigidus and had surgery 10 years ago ont eh other foot for Halux and a bunionette. I've been struggling for years to find comfortable byut stylish shoes. I was sooooo happy to run across your blog today. THANK YOU!!! My podiatrist is awesome, but he's a man... His advice for me on shoes is a rigid sole too. But he rarely has shopping tips for me! Ronda

I'm sorry for the delayed response! You've got a tough foot to fit. For the summer, I would recommend the Wolky Tulip, Jewel or Ruby. If the strap hits the exostosis, you can get 1/4 inch self adhesive felt or moleskin and create offloading of the exostosis on the underside of the strap. This will create a "sweetspot" for the exostosis so that the strap doesn't rub on it. I recommend going to the store and trying on the one that feets the best.

Oops Kim B,Sorry, you were asking for recommendations on enclosed shoes and not sandals!

You need a shoe with an 'extra depth toebox' and a dress orthotic so that it can 'cradle' the rearfoot and take up some room in back of the shoe. For the exostosis, you can get a 1/4 inch self adhesive felt pad and create a 'donut pad' that you place on the inside of the shoe to create a 'sweetspot' for the exostosis so there is no pressure on it. Also, you can take your shoe to a Cobbler and have them stretch the leather over the exostosis.

I would recommend New Balance 928 with an orthotic for your walking shoe. Skip a lace over the exostosis to relieve pressure. It also has an extra depth toe box.

Try the Ariat Fatbaby, which you can wear under jeans and black slacks. Stretch the leather on top with a Cobbler or put in the donut pad for off-loading.

Hi ds,Sorry for the delayed response! Clubfoot patients feet can be difficult to fit but I would reocmmend getting a extra-depth (maybe even custom molded) orthopedic shoe. It depens on the severity of the deformity. I don't have a specific recommendation because I'd have to see and evaluate your foot. Have you tried talking to your local Podiatrist or Pedorthist?I'm sorry I don't have something more specific,Cathy:)

Dear Chloe,A lighter Frye boot is fine as long as the sole is rigid. I have not seen the Frye Carson in person so I am not sure how much bend it has across the forefoot area. I do have patients who find light shoes with a thinner sole but the sole has absolutely no bend or flex. Finding a light shoe with a rigid sole is a challenge but they are out there. I'm sorry that I don't have a specific recommendation for you. It does have excellent reviews on zappos and that is a good sign! Also, skip a lace over the exostosis - it makes a huge difference!Thank you for reading and I'm sorry for the delayed response!Cathy:)

Regarding the Naot Kirei, I am not sure this is the right choice for you since you have RA. I haven't seen the shoe in person so I am not sure - but the sole looks a little flimsy. If the sole bends or flexes at all (especially in the forefoot area), it is not good enough for you. If the sole happens to be rigid and not flexible, it should be okay (with your orthotic) for light wear.

For a bedroom slipper, I usualy recommend the RX Crocs, Birkenstock sandals or Orthoheel Diabetic Slipper (this one is for geriatrics) but none of these accommodate an orthotic. With your history of RA, I would recommend still using a NB with orthotics as a slipper. Have you tried the New Balance 918, 1540 or 812? In my opinion, all three of these are more protective than the 860. Next time you are in the store, try them on and judge for yourself which one is most comfortable.

I do like the Dansko Bethany but I wish it had a wider toebox! It is hard to find a flat boot with a thick rigid sole but one option is that you can take the boot to a Cobbler and have them add a full length shank and thicker sole on the bottom. Many of my cowboy patients do this to their boots and it works well.

Doc Martin boots typically have thick, rigid and flat soles. Also, look up the Tsubo Kison and the Tsubo boot collection in general. Not all Tsubo boots have a thick and rigid sole but most of them do. It's hard to tell until you see the boot in person and can check them.

ationirnp andHi, I have been use to wearing high heels about 3" to 4" because my husband is so tall. Last year I had a couple of falls(wearing flats, I might add :) Due to my breaks etc. I have been told to wear large toe box shoes with heels of 2-2 1/2 ". Please recommend the most stylish shoes you can - I was a shoe addict and thank the Lord my dear daughter-in-law wore my size. Thank you and any one who can help a newcomer will be my BFF :) JB

Hi Anonymous,For thebest dress shoes, go to the search box and put in 'Top 20 Comfort Dress Shoes' and I have two lists of top dress shoes. Also, I have a list of Top 20 comfort sandals and boots. You can also simply scroll through until you see something you like - I have three years of shoe choices!Hope that was helpful,Cathy:)

First of all, I'm a huge fan of your blog and It's been a great resource for me to find out shoes for my aching feet! Secondly, congratulations on publishing your first novel! It's quite an accomplishment!

So the reason I came out of lurking today was because I recently got diagnosed with mild bunions, heel spurs and arthritis (the doctor mentioned this was mild and physio and massage therapy should help). I am also an overpronator. Prior to diagnosis, I've tried shoes recommended in your blog, particularly those with rocker bottom soles. I have a pair of Naot Divines and owned a Jambu wedge, and 3 pairs from the Dansko Sausalito collection. Though the shoes were comfortable and not painful at all, I find that the rocker soles would cause my feet to turn sideways (from over pronation maybe?). I stopped wearing rocker soles, due to the risk of twisting my ankle and not needing to be too conscious or careful with the way I walk.

For now, I have been wearing my Doc Martens and my Fluevog LoF Maggies (I am a total Fluevog fan). I haven't been falling since then, but I find that my feet get tired faster and I get slight shin pain. It seems like I have to choose between falling or comfort! I'm thinking about seeing a podiatrist (I saw a sports medicine doctor) and seeing if I need an orthotic (my sports med doctor said the orthotic isn't urgently necessary).

Aside from the thick sole, arch support, rear foot control and roomy toe box, what other things should I look for in a shoe for someone with my condition? Should I give up rocker soles or simply "learn to walk" in them? Can I still wear heels or wedges (prior to diagnosis, I was primarily a heel-wearer - so you can see how heartbreaking this is for me!)? What sort of brands/shoes do you recommend, if any come to mind?

From what you are saying, I would suspect that the rocker bottom shoes are not for you. They aren't for eveyone and if they are causing balance issues, I would recommend that you discontinue wearing them. With rocker bottom soled shoes, you should be able to put them on and (even if they feel a little wierd) they should feel fabulous and give instant relief. If they hurt or cause balance issues - they are too aggressive for you.

As far as heels go, I would recommend sticking to a low wedge heel with a thick and rigid sole, wide toebox and rearfoot control. I would highly recommend that you consider adding a custom-molded dress orthotic or a heat-molded dress insert to the shoes to control the arch. Proper arch support should stop or slow the progression of the bunion. I would highly recommend that you avoid surgery if possible and continue to focus on good shoes and a good pair of dress orthotics. Check with your insurance to see if they cover orthotics. Also, as CMO's can be expensive, there are many less expensive alternatives such as heat-molded inserts or even over-the-counter arch support. If it's an option, I would recommend that you go with a custom-molded dress orthotic from your local Podiatrist.

You've already named some excellent brands! The ones that come to mind are: Dansko, Fluevog, Allegria, Naot, Tsubo and Jambu. Did you check out my 'Top 25 comfort dress shoe' list? I think I have two of them.

I recently bought a pair of Fitflop sneakers and Alegria Caiti boots. I wore my FitFlop sneakers on a night out and did not feel any pain nor fell over due to balance issues! Now I can see the hype over this brand! The best part: they shoes definitely fit my aesthetic. I really hope FitFlop makes more shoes!

As for Alegria: in the store, I did not feel out of balance at all. I know they supposedly have a rocker sole, but unlike the rocker soles I've tried on, these ones did not make me feel like the side of my foot is about to twist. It was comfortable and I can walk in them!

What I noticed is that both shoes have at least an inch (or inch and a half) platform all the way. No "heel" of some kind. Perhaps that's what I need to be comfortable! The rocker soles I've worn in the past have a bit of a heel/incline and have a higher platform (at least 2 inches) and they made my foot turn sideways. I will probably just have to suck it up and reserve heels for formal occasions and look into getting a dress orthotic.

Thank you THANK YOU Dr. Cathy for your responses and your blog. :) I'm definitely looking forward to more of your articles!

Hi ANonymous,I'm so glad the FitFLops shoes and Allegria are working for you! Once you know what you are looking for - they are out there! And once you get used to your feet not hurting - you can't go back to uncomfortable shoes. Thanks for reading!Cathy:)

I have been having a lot of foot pain and didn't realize the impact my shoes were having on my feet. I appreciate your recommendation of some stylish shoe that can be worn to eliminate some of my pain. I am going to try out a couple of your recommendations. If my foot pain persists, I will have to find a good podiatrist. http://www.westmorelandfootdoctor.com/Bunion_Treatment_Greensburg_PA.html

I hadn't known that having backless shoes was bad for your feet. That's good to know. I've never liked backless shoes, so this makes me feel more justified. I do not want hammertoes or anything like that in the future. http://www.foundationchiropody.com/en/

I love all the shoe recommendations. But am wondering which shoes will work for me. You list many foot issues/ problems, but I am not sure which to watch out for so that I get the right shoes, that won’t cause me any problems.

I have never had problems wearing heels, but recently had a sesamoid bone fracture of my right foot. I was told that one of the reasons this happened, besides being in my 2 ¼ inch heel boots all day Thanksgiving, could be due to the imbalance of my right foot. I have a short fourth toe since I was a child. Something happened to the metatarsal bone, whether it was broken at birth or just born that way, I don’t know. My mother never noticed it when I was a baby. Either way finding shoes that fit right has always been hard for me. I also have somewhat wide feet, I think, as well as a high arch. I would also like to know how to make sure I am buying shoes that are the right fit (size and width). I guess I am now concerned that I have not been wearing properly fitting shoes…. I thought I was. And of course, I would like to know what issues to look for on your list of recommended shoes that would be similar to my issues. I thought perhaps it would be metatarsalgia problems. Am I right? I wanted to be sure. Also is there any other issues that would relate to mine? Can I wear heels again, since I fractured a sesamoid bone and have high arches? Or are they a no-no from this point on? Please advise and thank you. And happy holidays and New Year to everyone!

Forgot to ask…. About inserts. I wanted to get the right inserts for my shoes as well. I came across aertex brand, specifically the “Customizable Orthotics - L2405™ Orthotics”. Supposedly these are good for sesamoiditis. Do you recommend these or are there better inserts for somewhat wide feet, high arches, previous sesamoid facture and short fourth metatarsal issue. Did I list everything? :-) I just want to get this right and not have an issue with my feet again. Very nervous of having a repeat injury, and longer recovery time. I just want to get back to normal activity with out worring. Thank you.

Hi Anita,I'm sorry to hear that you suffered a sesamoid fracture! Check out my two articles on this blog:"My feet hurt: 10 things to do to alleviate foot pain today" and "Shoe recommendations for patients recovering from Lisfranc's fractures". Both of these articles relate to your situation and will cover all the basics you need to know!

When looking at my lists, you can follow recommendations for Hallux Limitus and Hallux Rigidus. ALthough that is not your exact problem - those shoes will be appropriate to your foot issues.

The basics: RX Crocs Ultimate Cloud or Relief for a bedroom slipper and the NB 928 or 1540 or the Huku One-One Stinson for exercise and as your 'go to' shoe are a good start.

You can most likely wear wedge heels that have a very low angulation (such as the Tsubo Barto), but you will have to try them on and see if they are comfortable to you. A great shoe that should work are the Wolky: Jewel, Cloggy, Tulip or the Ruby. It will be very hard to go wrong with those four choices.

Arch support? I would recommend either custom-molded arch support from your podiatrist or a good over the counter insert like Powerstep (for your tennis shoes).

I hope I haven't overwhelmed you with info! If you are in the Phoenix/Scottsdale area, make an appointment and bring in one bag of shoes and any x-rays and I will be happy to go into more detail with you. If you aren't in the area - read those two blog posts as all of the basic info is in those articles.

Hi Anita,Regarding the L2405 orthotics - spend your money on RX Crocs and a good exercise shoe first! The orthotic is only controlling the rearfoot and midfoot and the shoe has to do the major work as far as biomechanical control across the midfoot which is where your issues are located. It is more important that you have shoes that have a thick, rigid and non-flexible sole. Once you have the proper shoe, the orthotics are like icing on the cake -- and I would recommend either a custom insert from a podiatrist or the Powersteps. Cathy:)

I can't think of a better place to get a shoe recommendation than from a podiatrist. Thank you for sharing your wisdom and expertise. I think I am going to purchase a pair of the Dr. Marten's. I have a mild hammertoe, so it would be a good fit. I also love the way they look. http://www.myaikenfeet.com

Wow! There are a lot of podiatrist recommended shoes out there. I think that my mom would benefit from wearing them. She is always complaining about her feet hurting. I think that she should talk to a podiatrist. The doctor might be able to help treat her feet. http://www.alliedanklefoot.com/our-physicians.html

Hi Tylequious,Check out my article on the blog called:"My feet hurt - top 10 things to do to alleviate foot pain today" and "Shoe recommendations for patients recovering from a Lisfranc's Injury."Both these articles cover all of the basics for what you have to do to protect your feet for more comfort and less mechanical strain and injury. I also recommend that you encourage your mom to follow up with her local podiatrist who specializes in conservative, non-surgical treatment. Thanks for reading!Cathy:)

My wife is definitely one who thinks it's important to have cute shoes. However, I'm always the one to remind her to remember how they make her feet feel. This way, it makes us both happy! I'll have to look into getting her a couple of these shoes for next winter. I think she would end up really liking them! http://www.socalfootandankle.com/our-practice-2/

I love mukluks, I recently came across Lukluks. They are so comfortable it feels like Im walking barefoot. Has any one else worn this Native American womens boot? Is there any other simiaillar brands that compare?

Hi Sarah,Thank you for introducing me to a new shoe brand! I have never heard of mukluks, but they are adorable. IF the sole is thick, rigid and does not bend or flex - they look like they should be excellent. I will have to give them a try...Cathy:)

If you have a bunion you should:Buy shoes with a wide toe box.Avoid pointed toed shoes. Stretchable shoes are the best.Here's the best resource I've found on shoes for bunions* Keep in mind the size of a bunion changes over time, so remeasure your feet every time you buy new shoes.

Hi Kathleen,The Kurus are better than most. I had a pair and they were pretty good. I love their wide toe box! If you get a Kuru shoe, make sure you get one that has a thick, rigid and non-flexible sole -- especially through the forefoot area. Any motion through an arthritic joint will cause more pain as well as progression of the degenerative joint changes.

My recommendation to you would be to try the New Balance 928 or 1540 for walking exercises and a Rx Crocs Relief or Ultimate Cloud for a bedroom slipper.

I have a history of falling due to my ankle rolling in under me. This is how I broke my left foot a few years ago and my right fibula down by my ankle almost 3 weeks ago. The com on thread between both accidents is I was wearing slip on be sandals with no ankle straps. You could say I have weak ankles. I am definitely considering what type of footwear I should be wearing after my recovery. I used to wear Doc Martens 8 hole boots in my 20's or some kind of hiking boots. Am I thinking in the right direcftion or could you please direct me to a certain type of footwear that would be beneficial for my feet. Thanks!

Hi Anonymous,I'm sorry for the delayed response!Everything you need to know about preventing ankle and foot injuries and proper shoegear is detailed in this article. Copy and paste it in your search bar for all the info you need on proper shoes:

I have advanced hallux rigidus in the my left foot having been diagnosed this past March. I also have a high instep. Now that fall/winter is here, I am searching for (high and low) boots. (I had to give away all of my boots recently and it crushed me to do so!) I found the following on your 2014 list and some others when searching online for help and would like to get your opinion of these listed and ask if you can recommend others. Low/ankle boots: Alegria Caiti, Dromedaris Kara, Ugg Australia Denali, Woolrich Rockies Bootie and for a high boot I saw Alegria Kris (I would prefer a little higher on the leg)--any others that you recommend?Thanks very much!! Deb

I love my various Dansko and my Fatboys, but I really need to find a great boot that I can wear at work, on my feet for 12 hours a day, and yet I can ride my motorcyle with. So as you can see I need a good solid foot protection will I ride, and then great foot comfort and support while I work..Thanks again for all your great boot reviews.

Hi Debbie,Find any boot that has a thick, rigid and non-flexible sole and allows no motion through the sole of the foot. Make sure it has a wide toebox also. A custom-molded dress orthotics or a heat molded dress insert is a great addition to the boot and you can usually get this through your local podiatrist. If you have a great boot, but the sole is flexible -- you can take it to a local Cobbler and have them add a full-length steel shank to the bottom of the boot so that there is no motion through the sole of the boot. Hope that helps and thanks for reading!Cathy:)

Phoenix Magazine's Top Doc Award

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About Me

My name is Dr. Cathleen A. McCarthy. I was honored to have been voted a "Top Doctor" in Phoenix Magazine's April 2010 and 2014 issue and I'm passionate about helping people get out of pain and back into their lives!
My training includes a Bachelor of Science from Auburn University, pre-med at University of Pittsburgh and I attended a four year program at Temple University School of Podiatric Medicine where I earned the degree of Doctor of Podiatric Medicine. I completed a two year residency in Buffalo, New York in 2000 and moved to Arizona where I have been in private practice since that time.
I am a foot and ankle specialist and spend my days treating patients of all ages for a multitude of podiatric problems. My experience has been that if I can properly treat patients and get them through the healing phase, the next challenge is to get them into proper shoes and inserts so that the problem does not return. I am convinced that proper biomechanical control of the foot is crucial to preventing not only foot problems but knee, hip, and lower back pain.
I hope you enjoy my recommendations!
For an appointment, please call us at 480-563-5115.

FOR A SHOE TO BE GOOD ENOUGH FOR YOUR FEET, IT MUST MEET 4 CRITERIA:

1. A thick, rigid and non-flexible sole. This is the most important feature of the shoe! Any shoe that bends or flexes through the sole is setting you up for pain, inflammation, arthritic joint changes and increased risk of injury.

2. Wide, soft toebox. You can get Extra-Depth toebox shoes for more room in the forefoot area.

3. RearFoot Control. A shoe must have at least a strap in the back. No backless shoes!

4. Arch Support, which can be achieved with orthotics, OTC inserts or a heat-molded insert.